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Suggest Treatment For GERD

Posted on Mon, 27 Oct 2014

Question: I have been diagnosed with GERD and H Pyroli infection. I had breathing problem and during the diagnosis this was detected. From past one month i am taking adiza 10 mg ( ilaprzole) and domperidone 10 mg, though improvement is there but it is not recovering. I am taking all the precutions. Kindly suggest what should i do now?

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Additional treatment

Detailed Answer:
Hi.
First of all please let me know the symptoms you had before endoscopy and after the treatment was started and now ?

What is improved and what is not improved?
What is the dose and timing of Domperidone you are taking?
Any other medicines you had taken ?

In the meantime I would suggest a few more thing which you might be practicing ::
Ranitidine
Pepcid / Antacids every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and try to avoid.
If no relief, get a review Upper GI endoscopy done and get prescription for added Medicines.

This helps all my patients and should help you hopefully.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (6 minutes later)

Thanks for the revert. Before endoscopy I use to feel heaviness in the chest and breathing issues. Breathe was heavy as in forced breathing. No other symptom per say but slight burning in the stomach. Domperidone I am taking 3 times before every meals. 10 mg dose. After medicines its not that severe choking. Sir can this lead to any emergency situations I mean the breathing issues. What should I do if I have such attacks

Answered by Dr. T Chandrakant (30 minutes later)

Brief Answer:
Domperidone 8 hourly strictly

Detailed Answer:
Thanks for your feedback.
The problem started as breathing difficulty - Are you taking any medicines for this too ? How is the breathing problem at the moment ?

Try Domperidone at 8 hourly interval- for example at 6 am - 2 pm - 10 pm irrespective of your food habit. This is given as a motility regulator and not for nausea and vomiting.

No since you are improving there will be no emergency.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (9 hours later)

Sir only sypmtom of gerd I have is breathing difficulty I still have it. No medecinies for it seperatly. Severety of breathing problem is now releived but it still occurd almost daily.

Answered by Dr. T Chandrakant (4 hours later)

Brief Answer:
Further information please.

Detailed Answer:
Oh, I see.
GERD was thought of and treated, but your basic problem is related to breathing.
Have you consulted a Physician or still better a Pulmonologist to exactly know what the diagnosis is?

Please give details about breathing problem, the diagnostic tests / X-ray done. Please post the PFT report in full.

This has to be taken seriously if you are getting a breathing problem almost daily although must have been relieved a bit,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (1 hour later)

Sir, i have attached the first page of my PFT report. My X Ray chest was normal. I had only these tests done. Kindly suggest. R u speculation respiratory disease?

Answered by Dr. T Chandrakant (53 minutes later)

Brief Answer:
Check-up by a Physician.

Detailed Answer:
The Report is not complete as they have not written anything in the comment section.

Good that the X-ray was normal. PFT is just an adjunct to the good clinical examination by a stethoscope done by a Physician.

Yes, I think we should rule out the actual respiratory problem also. This can be a primary problem in itself. Treatment of GERD alone is anyway not helping you completely.

I would advise you to Consult a MD- Physician or a Pulmonologist to have a proper clinical check-up and evaluation. You still have a respiratory problem daily as per your history.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar